Healthcare Provider Details

I. General information

NPI: 1104999499
Provider Name (Legal Business Name): BETH C WHITNEY LPC LMFT CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 GREAT BRIDGE BLVD CHESAPEAKE COMM SERV BOARD
CHESAPEAKE VA
23320
US

IV. Provider business mailing address

PO BOX 1647 224 GREAT BRIDGE BLVD CHESAPEAKE COMMUNITY SERVICES BOA
CHESAPEAKE VA
23320
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-9334
  • Fax: 757-819-6292
Mailing address:
  • Phone: 757-547-9334
  • Fax: 757-819-6292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710101815
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002844
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001039
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: